Clients with hypothyroidism are very sensitive to:
a. vitamin and mineral preparations. c. sedatives and hypnotics.
b. antacids. d. antibiotics.
ANS: C
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A Incorrect: These clients are not especially sensitive to these substances.
B Incorrect: These clients are not especially sensitive to these substances.
C Incorrect: Clients with hypothyroidism are especially sensitive to these substances, because both the disease and these medications are depressive.
D Incorrect: These client are not especially sensitive to these substances.
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A patient, age 68, has a long history of COPD and is admitted to the hospital with cor pulmonale. He says his doctor said his heart was failing and asks whether he is having a heart attack. Which explanation by the nurse is most correct?
a. "You aren't having a heart attack, but your heart has been damaged by changes in your lungs caused by your respiratory disease." b. "It could be a heart attack, and when the heart is damaged it causes respiratory damage, too." c. "It isn't a heart attack, but your heart has gradually weakened over the years, causing respiratory disease." d. "It is probably a heart attack, since cor pulmonale means that the heart isn't getting enough blood and becomes too weak to pump effectively."
The nurse who is teaching a caregiver about avoiding triggers of asthma for a child. The nurse will evaluate the caregiver as having understood the instruction when the caregiver comes back in 2 weeks and gives which of the following reports?
a. "We have several new house plants that are producing carbon dioxide." b. "We only allow the cat to be in the family room, which is carpeted." c. "I launder the bed linens and clothing in water that is at least 54.4 degrees C (130 degrees F)." d. "We have turned off the air conditioner and opened the windows."
Which approach would the nurse avoid when caring for the family of a dying patient?
1. Repeating information frequently to make sure the information is being understood fully 2. Reaffirming the bad news but allowing time to listen to their responses 3. Being honest and sincere but sensitive to the family's needs 4. Encouraging a quick decision-making process to decrease the amount of time required to get past the painful part of dealing with the death
The patient complains of the unsightly swelling of her lip at the site of an infection. The nurse explains that the swelling is part of the inflammatory response and performs which action?
a. Stores blood b. Acts as a compression wall c. Provides an antibody reservoir d. Produces leukocytes